Barbados Heart Foundation

 

 
 
 

Heartline Magazine January - March 2007

Low calorie diets - weighing the costs

By Lunelle Arendse, Dietician, Heart Foundation of South Africa

We all want to be successful. We might not always admit it to others or ourselves, but deep within we all want to be esteemed highly by others.

While men are ferociously competing over who can earn the biggest salary and drive the biggest car, women are searching for the fastest and easiest way to become “The Thinnest of them All !“

The market is flooded with diets and programmes that promise rapid weight loss in a very short period of time with little or no effort. These include the so called “Heart Foundation” diets which the Heart Foundation of South Africa does not endorse as they are nutritionally inadequate. Common to all these diets is the promise of rapid weight loss in a very short period of time (three 14 day cycles); they provide very little energy; are usually void or very low in carbohydrates (no bread, pasta, rice, potatoes) which is the body’s main energy source; offer unusual options like ice-cream as an integral part of a meal; very few dairy products are permissible and these might even be completely excluded; a variety of vegetables are allowed but all the starchy vegetables (pumpkin and family, corn, peas, sweet potato) are excluded; fruit is limited to 2 or 3 options and often bananas are forbidden. The meal plans are restricted to only 3 meals per day and snacking between meals is considered a deadly sin. The basis on which these diets draw their success is that they provide very little energy and push our bodies into a state of disguised fasting.

It cannot be denied that these diets actually do bring about rapid weight loss but lets see what actually happens to the body when submitted to such radical deprivation of energy.

The body is always busy expending energy to maintain all processes of life and thus needs to refuel periodically. During the event of energy deprivation glucose stored in the liver as glycogen and fatty acids from the body’s fat stores, flow into cells to fuel bodily functions. Once the glucose stores are depleted, the resulting low blood glucose concentration signals further fat breakdown for energy production. All body cells, except for brain cells, are dependant on fatty acids for fuel. Again the body finds a solution by breaking down body protein to produce glucose and if this is not sufficient it’s forced to produce ketone bodies, which serve as fuel for the brain.

Ketosis causes loss of appetite, which explains why many of those on such low calorie diets often report that they are actually not hungry after a few days of following the diet. This stage is also characterised by a metallic odour on your breath.

While the body is shifting to the use of ketone bodies, it simultaneously reduces its energy output resulting in a slow metabolic rate. Contrary to what most people believe, weight loss by means of energy deprivation may be quite dramatic but this is more due to the loss of lean body mass (muscle mass) and water - fat loss may not be that significant. The implication of this is that you might be thinner but you also might end up being flabby. You may also experience dry or flaky skin, brittle hair, intense tiredness, bad breath, lowered body temperature, and a reduced resistance to disease - not really the picture of health, beauty and success that you envisioned is it?

Clearly going on a low energy diet involves much more co-operation and submission from the body than one would think, and a sad, harsh reality of life is that even after the facts have been laid down, for many the obsession to conform to the Western ideal of beauty and success will be greater than the concern for optimal health.

Unhealthy eating and lifestyle habits are not the result of some or other cataclysmic event, but are established over years and therefore undoing them will take time. Quick fix diet remains an oxymoron.
So after all has been said and done, again we return to the universal rules of well-being - follow a healthy lifestyle, exercise regularly and eat a balanced diet. Your heart will love you for it!

 

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